Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.53 / $57.27 / $76.06	Facility		$50.53	$57.27	$76.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.28 / $64.65 / $93.12	Professional		$51.28	$64.65	$93.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.76 / $77.54 / $120.00	Professional		$51.76	$77.54	$120.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.63 / $299.57 / $357.16	Facility		$254.63	$299.57	$357.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.23 / $113.02 / $155.56	Professional		$67.23	$113.02	$155.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $285.00 / $285.00 / $285.00	Facility		$285.00	$285.00	$285.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $87.38 / $162.10	Professional		$43.00	$87.38	$162.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $77.20 / $136.91	Facility		$66.64	$77.20	$136.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.81 / $109.09 / $440.01	Professional		$60.81	$109.09	$440.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $79.66 / $122.77 / $162.10	Facility		$79.66	$122.77	$162.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $75.75 / $119.00 / $179.41	Professional		$75.75	$119.00	$179.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.86 / $80.65 / $156.22	Professional		$58.86	$80.65	$156.22
United Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $106.86 / $161.58	Professional		$59.00	$106.86	$161.58